Kailey Ann Dodge

NPI #1063163053 in Sartell, Minnesota

Provider Information

NPI Number: 1063163053
Entity Type: Individual
Name: Kailey Ann Dodge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 12, 2022
Last Updated: Jan 12, 2022

Practice Location

Address: 205 14TH AVE E
City: Sartell
State: Minnesota
ZIP Code: 56377-4500
Phone: (320) 774-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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